Individual
DR. DIVYANG PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1106 DRUID RD S, SUITE 302, CLEARWATER, FL 33756-3846
(727) 441-3711
Mailing address
PO BOX 660, CLEARWATER, FL 33757-0660
(727) 793-9300
(727) 793-0052
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME85341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267301100
—
FL
01
—
62794
BCBS
FL
Enumeration date
10/28/2005
Last updated
03/17/2025
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